Individual
ELAINE NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5763 STEVENSON BLVD, NEWARK, CA 94560-5301
(510) 656-5700
Mailing address
1758 RIVER OAKS CIR, FAIRFIELD, CA 94533-7799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
03/05/2022
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